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Mild traumatic brain injury and epilepsy: alcohol misuse may underpin the association
Mild traumatic brain injury (mTBI) is associated with various neurological and cognitive problems, but causality is often less clear. For example, postconcussion syndrome (PCS) was widely assumed to be a consequence of neural damage until it was demonstrated that: (1) the symptoms of PCS are not specific to brain injury, being common in the general population,1 (2) ‘PCS’ is as common in those who experience physical trauma without brain injury as those who experience mTBI,2 (3) preinjury factors, such as a history of anxiety or affective disorder, predict development of PCS,2 (4) PCS has a strong relationship w...
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 6, 2014 Category: Neurosurgery Authors: Welch, K. A., Derry, C. Tags: Epilepsy and seizures, Neurological injury, Stroke, Trauma CNS / PNS, Unwanted effects / adverse reactions, Alcohol-related disorders, Drugs misuse (including addiction), Mood disorders (including depression), Trauma, Injury Editorial commentaries Source Type: research

Just a graze?
In conclusion, when approaching a patient with head injury and one or more cranial nerve palsies, it is important to consider cephalic tetanus. Figure 1 Axial CT head shows a large subcutaneous haematoma overlying the right frontal convexity with locules of gas and a 3mm metallic density at its inferior aspect, possibly representing a foreign body.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Doshi, A., Dahdalleh, D., Warrell, C., Kullmann, D. Tags: Immunology (including allergy), Cranial nerves, Drugs: CNS (not psychiatric), Neurological injury, Stroke, Trauma CNS / PNS, Hypertension, Trauma, Injury Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), Source Type: research